A Qualitative Exploration of Mothers’ Perspectives on Extended Breastfeeding, its Benefits and Challenges, in Ebonyi state, Nigeria

Background; Extended breastfeeding refers to nursing a child for up to 2 years and beyond, a recommendation of the WHO/UNICEF. The National Policy on Infant and Young Child Feeding in Nigeria has adopted this standard, yet little is known about mothers’ capacities and experiences of extended breastfeeding. This study explored the perspectives and experiences of mothers regarding extended breastfeeding in southeast Nigeria. Issues surrounding implementation, enablers and barriers were explored. Method : A qualitative, exploratory approach was used to garner the perspectives of mothers regarding extended breastfeeding. Focus groups were conducted with a total of thirty-seven mothers of children above the age of two years who were recruited at the well-child clinics of a primary and a tertiary health facility. Results : Many mothers perceived extended breastfeeding as challenging. Maternal stress, hunger, lack of time, and the perception of no added advantage were commonly identified barriers. Sufficient food for maternal nourishment and support from family members/friends resonated as facilitators to the practice. Conclusions/Implications; The standard policy to breastfeed up to two years appears to prioritize infant needs while placing unrealistic demands on the current lives of Nigerian women. Based on our findings, we call for a policy review that considers the physical, psychological, and socio-economic needs of mothers while determining adequate and reasonable standards for breastfeeding that also benefit their babies.Clinical trial number: not applicable.